| NPI | 1548417884 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD041647)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35096932)  | 
| Enumeration Date | 2008-08-19 | 
| Last Update Date | 2019-01-07 |